02D1044646 CLIA NUMBER - MONICA GAUPP MD FAAP LLC

Laboratory Demographics

  • CLIA Code: 02D1044646
  • Facility Name: MONICA GAUPP MD FAAP LLC
  • Facility Address: 16958 NORTH EAGLE RIVER LOOP ROAD
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 622-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA GAUPP
  • NPI Number: 1467432278
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 02D1044646
LAB Type Physician Office
Facility Name MONICA GAUPP MD FAAP LLC
Street 16958 NORTH EAGLE RIVER LOOP ROAD
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 622-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director MONICA GAUPP

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This page was last updated on: 9/29/2025